Plastic Surgery Center of PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGERY CENTER OF PA

Practice address

5040 W Ridge Rd Ste 200
Erie, PA 16506-1261

Phone

(814) 480-8220

Fax

(814) 480-8224

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gunner Eo Bergqvist, M.D.

Title

President

Phone

(814) 480-8220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gunnar Eo Bergqvist, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Erie, PA
  • NPI 1649216524
  Medicare reassignment Care Compare group
• Ryan S Marovich, MPAS, PA-C

  • Physician Assistant
  • Erie, PA
  • NPI 1366779357
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1609987759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 W RIDGE RD STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061261",
            "telephone_number": "814-480-8220",
            "fax_number": "814-480-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 W RIDGE RD STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061261",
            "telephone_number": "814-480-8220",
            "fax_number": "814-480-8224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Cranberry St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165071067",
            "country_code": "US",
            "telephone_number": "814-480-8220",
            "fax_number": "814-480-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "BERGQVIST",
        "authorized_official_first_name": "GUNNER",
        "authorized_official_middle_name": "EO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-480-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharat Pillai, MD
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• Jared Piszczynski
• Amie Pittner
• James Place, MS
• Plaza Dental Associates PC
• Pleasantview Chiropractic, LLC
• Alicia Plyler, LPC
• Renee Beth Plyler, LCSW
• Alyssa Pociej, M.ED

• Plastic Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.